Outpatient Auditor III
EXL
Hospital Bill Auditor III
EXL
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $70,000 - $80,000 per year
Job Level
Mid-LevelSenior
About the role
- Conduct hospital charge audits on claims paid at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record.
- Identify overcharges, undercharges and unbundled items per carrier contract, industry standards and payer reimbursement policies.
- Schedule audits timely by contacting the provider and manage inventory.
- Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs.
Requirements
- Minimum of 5+ years of acute care clinical experience in medical/surgical units
- Licensed Nurse with current active license
- Minimum 3+ years hospital bill auditing experience on high dollar claims paid at percent of billed charge, payer or provider side
- CPC, CCS or CMAS desired
- Excel proficiency
- Familiarity with basic data entry tasks
- Excellent interpersonal and communication skills
- Demonstrate ability to prioritize tasks and work independently
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
hospital charge auditsclaims auditingdata entryExcel proficiency
Soft skills
interpersonal skillscommunication skillsability to prioritize tasksindependent work
Certifications
Licensed NurseCPCCCSCMAS
